Active NPI
McKenzie Rae Balego, DDS
- Dentist
- Cambridge, MN
National Provider Identifier
1376228650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14928
- Practice address
- 1596 2ND Ave NE Ste a
Cambridge, MN 55008-8069 - Phone
- (763) 689-5699
- NPI assigned
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14928 | MN | Primary |
Addresses
Primary practice location
1596 2ND Ave NE Ste a
Cambridge, MN 55008-8069
Mailing address
11974 Wedgewood Dr NW
Coon Rapids, MN 55433-6702
Phone (612) 244-1152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14928 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam F. Curtis, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1376228650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11974 WEDGEWOOD DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554336702",
"telephone_number": "612-244-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1596 2ND AVE NE STE A",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550088069",
"telephone_number": "763-689-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALEGO",
"first_name": "MCKENZIE",
"middle_name": "RAE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.